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European Heart Journal 1987 8(5):553-557;
Copyright © 1987 by the European Society of Cardiology.
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© 1987 The European Society of Cardiology

Subaortic aneurysm of the left ventricle obstructing a coronary artery

A. BARTORELLI and A. SALA

Istituto di Cardiologia, Centro Ricerche Cardiovascolari del C.N.R., Istituto Ricerche Cardiovascolari ‘G. Sisini’, University of Milan and Fondazione‘I. Monzino’ Milan, Italy

Received 21 July 1986; revised 13 October 1986; .

Antonio Bartorelli, M.D., Istituto di Cardiologia, Via Parea 4, 20138 Milan, Italy.

Abstract

We report a subaortic aneurysm of the left ventricle causing compression of a coronary artery in a 52-year-old white man presenting with angina on effort. Endocarditis seemed to be implicated as the cause of this rare condition. To what extent coronary obstruction influenced the development of myocardial ischaemia was not defined since the patient also had aortic valvular disease. The clinical features, diagnostic studies and successful surgical treatment are described.

Key Words: Subaortic aneurysm • coronary arteries • myocardial ischemia • infective endocarditis


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